A 38-year-old African American man was admitted to the hospital with fever, headache, nausea, and vomiting of 2 months’ duration and right hand, arm, and leg weakness in the last 2 weeks. The only findings on physical examination were marked hyposthenia of the upper and lower right limb but no evidence of sensitive deficits or meningeal signs.1
A cerebral computed tomographic scan (Figure 1) showed multiple bilateral, small, rounded, lobulated intraparenchymal masses with ring enhancement, a low-density center, and perilesional edema but no calcifications. A T2-weighted magnetic resonance image (Figure 2) of the brain revealed multiple ring-enhanced lesions and multiple hyperintense, round areas with surrounding edema.2 The chest radiograph and laboratory test results showed no remarkable findings.
Innocenti R, Degl’Innocenti L, Fronzaroli C, Ferrante F, Corradi F. Radiologic Miliary Patterns of Cerebral Tuberculosis. Arch Neurol. 2005;62(1):153-154. doi:10.1001/archneur.62.1.153